Bilateral stroke: unpaired anterior cerebral artery infarct rare presentation

Authors

  • Kekathi Vidyasagar Department of Medicine, Kurnool Medical College, Government General Hospital, Kurnool, Andhra Pradesh
  • Sandhyapogu Lakshmi Bai Department of Medicine, Kurnool Medical College, Government General Hospital, Kurnool, Andhra Pradesh
  • P. Venkataswamy Consultant Neuro Physician, Sanjeevini Hospital, Kurnool, Andhra Pradesh
  • S. Chandrasekhar Department of Medicine, Kurnool Medical College, Government General Hospital, Kurnool, Andhra Pradesh
  • Vaddera Sameeraja Department of Medicine, Kurnool Medical College, Government General Hospital, Kurnool, Andhra Pradesh
  • Ravikaladhar Reddy Department of Medicine, Kurnool Medical College, Government General Hospital, Kurnool, Andhra Pradesh

Keywords:

Unpaired ACA, Bilateral stroke, Hypoplasia, Aplasia

Abstract

ACA territory is an uncommon site for occlusive vascular strokes. Small degree of asymmetry of anterior arteries is present in 80% of patients. Common variants of anterior cerebral arteries include aplasia or hypoplasia of A1 segment. Hypoplasia is found in 10% and aplasia in 1-2% of postmortem examinations.  Of all ischemic strokes ACA territory strokes constitutes only 0.6 to 3%. Bilateral ischemic stroke in unpaired ACA is rare entity. We report a case of unpaired ACA due to hypoplasia of right ACA, presenting as stuttering hemiplegia with bilateral focal neurological deficit.

References

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Published

2017-01-05

How to Cite

Vidyasagar, K., Bai, S. L., Venkataswamy, P., Chandrasekhar, S., Sameeraja, V., & Reddy, R. (2017). Bilateral stroke: unpaired anterior cerebral artery infarct rare presentation. International Journal of Research in Medical Sciences, 3(1), 331–333. Retrieved from https://www.msjonline.org/index.php/ijrms/article/view/1266

Issue

Section

Case Reports